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17 pages, 2583 KiB  
Article
A Survey Analysis Comparing Perceptions of Plastic Use in Nurseries and Greenhouses in the United States
by Alexa J. Lamm, James S. Owen, James Altland and Sarah A. White
Land 2025, 14(7), 1383; https://doi.org/10.3390/land14071383 - 1 Jul 2025
Viewed by 387
Abstract
Plastic is extensively used in nursery and greenhouse operations. Concerns are growing about the potential release of plastic byproducts, such as microplastics and per- and poly-fluoroalkyl substances (PFAS), into water resources. The purpose of this study was to (1) compare perceptions of plastic [...] Read more.
Plastic is extensively used in nursery and greenhouse operations. Concerns are growing about the potential release of plastic byproducts, such as microplastics and per- and poly-fluoroalkyl substances (PFAS), into water resources. The purpose of this study was to (1) compare perceptions of plastic use and water quality impacts between scientists researching water contaminants and nursery/greenhouse growers, (2) identify barriers to growers reducing plastic use, and (3) explore preferred communication channels for scientists to inform growers about emerging research. An online survey was administered to collect data from scientists in a USDA-funded multi-state Hatch project (N = 20) and nursery/greenhouse growers (N = 66) across the United States. The findings indicated both groups were unsure of the impacts of plastic use. While most respondents perceived surface water pollution as a critical issue, neither scientists nor growers strongly agreed on-farm plastic use poses a significant threat. Both groups recognized the importance of regular water testing, but few believed mandatory changes to plastic use should be enacted without further evidence. Growers cited limited equipment, financial constraints, and uncertain availability of viable plastic alternatives as key barriers. Despite these barriers, growers were willing to learn more, primarily through online resources, short courses, and workshops. The findings underscore the need for targeted research that quantifies plastic byproducts in nursery/greenhouse water and identifies cost-effective alternatives. Timely dissemination of scientific findings using trusted sources will be critical to bridge knowledge gaps and support adoption of best practices to safeguard water quality in surface and groundwater. Full article
(This article belongs to the Special Issue Integrating Climate, Land, and Water Systems)
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33 pages, 513 KiB  
Review
Steatotic Liver Disease in Older Adults: Clinical Implications and Unmet Needs
by Daniel Clayton-Chubb, William W. Kemp, Ammar Majeed, Peter W. Lange, Jessica A. Fitzpatrick, Karl Vaz, John S. Lubel, Alexander D. Hodge, Joanne Ryan, John J. McNeil, Alice J. Owen, Robyn L. Woods and Stuart K. Roberts
Nutrients 2025, 17(13), 2189; https://doi.org/10.3390/nu17132189 - 30 Jun 2025
Viewed by 612
Abstract
Metabolic dysfunction-associated steatotic liver disease (MASLD) is the commonest cause of chronic liver disease worldwide. Its incidence has been increasing rapidly, alongside the growing epidemics of type 2 diabetes mellitus and overweight/obesity. Global population age has also been increasing in parallel, and predictions [...] Read more.
Metabolic dysfunction-associated steatotic liver disease (MASLD) is the commonest cause of chronic liver disease worldwide. Its incidence has been increasing rapidly, alongside the growing epidemics of type 2 diabetes mellitus and overweight/obesity. Global population age has also been increasing in parallel, and predictions indicate there will be more than 2 billion persons aged over 65 by the year 2050. The interplay between MASLD and other health conditions of older persons has been a focus of recent research. In this narrative review, we aim to describe its prevalence; clinical and sociodemographic associations; and outcomes for older persons, all of which are of significant importance when considering public health messaging as well as screening and counselling individual older adults. Full article
(This article belongs to the Special Issue Dietary Intake and Health Status in Older Adults—2nd Edition)
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15 pages, 1196 KiB  
Article
Iterative Cytoreductive Surgery and HIPEC for Peritoneal Metastases from Primary Appendiceal and Colorectal Cancers: An Observational Study
by Andrew M. Fleming, Owen M. Clark, Jaewon J. Lee, Kristen Dougherty, Leah E. Hendrick, Jordan Raine, Ian Solsky, Paxton V. Dickson, Evan S. Glazer, David Shibata, Elizabeth Gleeson, Gitonga Munene and Jeremiah L. Deneve
Cancers 2025, 17(12), 2014; https://doi.org/10.3390/cancers17122014 - 17 Jun 2025
Viewed by 382
Abstract
Background: Peritoneal relapse after cytoreduction and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) is common. Repeat CRS/HIPEC offers the potential for long-term survival in the appropriately selected patient. Methods: We performed a retrospective review of a single institution database to assess perioperative outcomes after [...] Read more.
Background: Peritoneal relapse after cytoreduction and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) is common. Repeat CRS/HIPEC offers the potential for long-term survival in the appropriately selected patient. Methods: We performed a retrospective review of a single institution database to assess perioperative outcomes after repeat CRS/HIPEC for appendiceal (pAC) and colorectal (pCRC) cancers. Kaplan–Meier and Cox estimates were used to assess survival. Results: Of 157 patients, 103 patients underwent initial CRS/HIPEC for pAC (n = 67) or pCRC (n = 36) histologies. Twenty-seven pAC patients (27/67, 40%) and 23/36 pCRC patients (63%) developed disease recurrence. Relapsed patients had a higher burden of disease (PCI), operative length and blood loss and received adjuvant chemotherapy (all p < 0.05). Nine of the 27 relapsed pAC patients and 5 of the 13 relapsed pCRC patients underwent repeat CRS/HIPEC. The median time to repeat CRS/HIPEC was 18 months (4–26 months), and a CCR-0 and CCR-1 were achieved in 79% and 21%, respectively. The 1-, 3- and 5-year OS for pAC patients who underwent repeat CRS/HIPEC was 88.9%, 88.9% and 77.8%, and the 1- and 3-year OS for pCRC patients was 100% and 25%, respectively. Repeat CRS/HIPEC for pAC was associated with significant improvement in OS (p = 0.03), while for pCRC, no significant difference was observed (p = 0.99). Conclusions: Repeat CRS/HIPEC for isolated peritoneal recurrence is safe and offers the potential for long-term survival. Patient selection is key to ensure optimal cytoreduction when considering repeat CRS/HIPEC. Full article
(This article belongs to the Special Issue Advances in the Management of Peritoneal Surface Malignancies)
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34 pages, 3464 KiB  
Review
Addressing Biological Invasions in Agriculture with Big Data in an Informatics Age
by Rebecca A. Clement, Hyoseok Lee, Nicholas C. Manoukis, Yelena M. Pacheco, Fallon Ross, Mark S. Sisterson and Christopher L. Owen
Agriculture 2025, 15(11), 1157; https://doi.org/10.3390/agriculture15111157 - 28 May 2025
Viewed by 895
Abstract
Big data approaches are rapidly expanding across many fields of science and are seeing increasing application, yet the use of big data in research related to invasive species lags. Big data can play a key role in predicting, detecting, preventing, controlling, and eradicating [...] Read more.
Big data approaches are rapidly expanding across many fields of science and are seeing increasing application, yet the use of big data in research related to invasive species lags. Big data can play a key role in predicting, detecting, preventing, controlling, and eradicating biological invasions. Here, we assess terms in the literature related to big data, biological invasions, and agriculture and review sources of big data, including museum records, crowdsourcing observations, natural history collections, and DNA-based information. These sources can be combined with environmental data to build models, predict the origins of invasive species, and develop control methods. To harness the power of data for agricultural biological invasions, several action areas are recommended to streamline processes and improve data sources. Full article
(This article belongs to the Section Artificial Intelligence and Digital Agriculture)
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16 pages, 1384 KiB  
Article
Production and Physicochemical Characterization of Activated Carbon from the Mesocarp of the Coconut (Cocos nucifera L.) Variety Alto del Pacifico
by Gabriela Ramos Clamont Montfort, José A. Azamar-Barrios, Patricia Quintana-Owen, Víctor Rejón-Moo, William S. González-Gómez and Tomás J. Madera-Santana
Chemistry 2025, 7(3), 88; https://doi.org/10.3390/chemistry7030088 - 28 May 2025
Viewed by 684
Abstract
The mesocarp, a by-product of coconut production, consists of a fibrous outer layer and a medullary tissue. These fibers can be utilized as an alternative source for producing activated carbon (AC). This study presents a method for producing activated carbon from coconut mesocarp [...] Read more.
The mesocarp, a by-product of coconut production, consists of a fibrous outer layer and a medullary tissue. These fibers can be utilized as an alternative source for producing activated carbon (AC). This study presents a method for producing activated carbon from coconut mesocarp fibers (CMFs) using a phosphoric acid (H3PO4) solution as the activating agent. The chemical activation process involves two stages: (1) carbonization of the CMFs, and (2) activation with H3PO4 at elevated temperatures. AC was characterized by its structural, thermal, surface morphological, and elemental properties. The resulting AC developed a lamellar structure with a porous network. Notably, the AC treated with a 60% v/v H3PO4 solution demonstrated a BET adsorption surface area of 1508 m2/g, a total pore volume of 0.871 cm3/g, and an average pore diameter of 2.20 nm. Fourier-transform infrared spectroscopy (FTIR) confirmed the presence of aromatic rings in the AC, while thermogravimetric analysis showed that the AC decomposed at 428 °C, compared to 418 °C for the non-activated carbon. Elemental analysis revealed a 9.04% increase in carbon content in the AC. Producing activated carbon from coconut mesocarp fibers offers a cost-effective method to generate high-surface-area activated carbon from agro-industrial waste. Full article
(This article belongs to the Section Green and Environmental Chemistry)
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21 pages, 3042 KiB  
Article
Regulation of Kv2.1 Channels by Kv9.1 Variants
by Hedaythul Choudhury, Muruj Barri, Kay Osborn, Mohan Rajasekaran, Marina Popova, Owen S. Wells, Edward B. Stevens and Ruth D. Murrell-Lagnado
Biomedicines 2025, 13(5), 1119; https://doi.org/10.3390/biomedicines13051119 - 6 May 2025
Viewed by 711
Abstract
Background/Objectives: Kv2 channels have important conducting and nonconducting functions and are regulated by their co-assembly with ‘silent’ Kv subunits, including Kv9.1. Kv9.1 is co-expressed with Kv2 channels in sensory neurons, and a common allele that changes Ile489 to Val in human Kv9.1 is [...] Read more.
Background/Objectives: Kv2 channels have important conducting and nonconducting functions and are regulated by their co-assembly with ‘silent’ Kv subunits, including Kv9.1. Kv9.1 is co-expressed with Kv2 channels in sensory neurons, and a common allele that changes Ile489 to Val in human Kv9.1 is associated with pain hypersensitivity in patients. The mechanism responsible for this association remains unknown, but we hypothesise that these two variants differ in their regulation of Kv2.1 properties, and this is what we set out to test. Methods: Expression was carried out using HEK293 cells, OHeLa cells, and primary cultures of hippocampal neurons, and the biophysical and trafficking properties of homomeric and heteromeric channels were assessed by confocal fluorescence microscopy and patch clamp analysis. Results: Both Kv9.1Ile and Kv9.1Val were retained within the endoplasmic reticulum when expressed individually, but when co-expressed with Kv2.1, they co-localised with Kv2.1 within the surface clusters. Both variants reduced the surface expression of Kv2.1 channels and the size of channel clusters, with Kv9.1Val producing a greater reduction in surface expression in both the HeLa cells and neurons. They both caused a similar hyperpolarising shift in the voltage dependence of channel activation and inactivation. Concatamers of Kv2.1 and Kv9.1 suggested that both 3:1 and 2:2 ratios of Kv2.1 to Kv9.1 were permitted, although 2:2 resulted in lower surface expression and function. Conclusions: The Ile489Val substitution in Kv9.1 does not disrupt its ability to co-assemble with Kv2 channels, nor its effects on the voltage-dependence of channel gating, but it did produce a greater reduction in the Kv2.1 surface expression, suggesting that this underlies its association with pain hypersensitivity. Full article
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18 pages, 1257 KiB  
Article
Associations Between MASLD, Ultra-Processed Food and a Mediterranean Dietary Pattern in Older Adults
by Isabella Commins, Daniel Clayton-Chubb, Jessica A. Fitzpatrick, Elena S. George, Hans G. Schneider, Aung Zaw Zaw Phyo, Ammar Majeed, Natasha Janko, Nicole Vaughan, Robyn L. Woods, Alice J. Owen, John J. McNeil, William W. Kemp and Stuart K. Roberts
Nutrients 2025, 17(9), 1415; https://doi.org/10.3390/nu17091415 - 23 Apr 2025
Cited by 2 | Viewed by 820
Abstract
Background/Objectives: Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) is the most common liver disease worldwide, affecting 38% of the adult population globally. Methods: We examined the impact of the Mediterranean Diet and Ultra Processed Food (UPF) intake on the risk of prevalent MASLD in [...] Read more.
Background/Objectives: Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) is the most common liver disease worldwide, affecting 38% of the adult population globally. Methods: We examined the impact of the Mediterranean Diet and Ultra Processed Food (UPF) intake on the risk of prevalent MASLD in older adults. Results: Our major findings include that increased adherence to a Mediterranean Dietary pattern was associated with a decreased risk of MASLD. Additionally, we found that high UPF intake was associated with an increased risk of MASLD. Furthermore, our study found that even with a high UPF intake, the risk of MASLD decreased if the individual also had a higher Mediterranean Diet intake compared to a lower Mediterranean Diet intake. Conclusions: These results are of particular importance in older people, given the known links between MASLD, metabolic comorbidities and frailty. Public health messaging should focus on promoting Mediterranean dietary habits, and ways to help older people achieve this given the social and economic barriers they may face. Full article
(This article belongs to the Special Issue Nutritional Risk in Older Adults in Different Healthcare Settings)
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31 pages, 1410 KiB  
Article
Pesticide Mobility in Surface and Subsurface Irrigation Return Flow in a Container Plant Production System
by Damon E. Abdi, James S. Owen, Jr., P. Christopher Wilson, Francisca O. Hinz, Bert M. Cregg and R. Thomas Fernandez
Water 2025, 17(7), 953; https://doi.org/10.3390/w17070953 - 25 Mar 2025
Viewed by 424
Abstract
The objectives of this study were to determine the effects of irrigation method on the movement of 10 commonly used pesticides in container nursery production. Pesticide transport under three irrigation methods at a nursery engineered to collect irrigation return flow (IRF) from the [...] Read more.
The objectives of this study were to determine the effects of irrigation method on the movement of 10 commonly used pesticides in container nursery production. Pesticide transport under three irrigation methods at a nursery engineered to collect irrigation return flow (IRF) from the production surface and subsurface was determined. Pesticide applications occurred three times throughout the study, followed by a 16-day monitoring period. The irrigation applied and surface and subsurface IRF volumes generated from single irrigation events were measured and subsamples of the IRF water were analyzed to assess pesticide presence. Overhead irrigation served as the control with two microirrigation treatments, one applying a fixed amount of water each day and the other scheduled using substrate moisture sensors. Microirrigation reduced irrigation volume by >75% and surface IRF by up to 100%. Subsurface IRF was similarly reduced by microirrigation, yielding 23–47% lower volumes. Pesticides with greater solubilities and lower adsorption coefficients were more mobile than the inversely characterized compounds, particularly in subsurface IRF. The least soluble pesticides had a reduced presence in surface and, to a larger extent, subsurface IRF. Reductions or elimination of surface IRF by using microirrigation reduced the transport of all pesticides by >90%. Pesticides that had a higher solubility were found in subsurface IRF regardless of irrigation method. This study demonstrates the importance of both the irrigation delivery method and pesticide physiochemical properties on the environmental fate of pesticides in nursery settings. Microirrigation can reduce and often eliminate surface IRF, limiting the movement of pesticides regardless of physiochemical properties; whereas, the selection of pesticides that are less soluble can be an effective way to limit the subsurface movement of pesticides, regardless of irrigation method. Full article
(This article belongs to the Special Issue Non-Point Source Pollution and Water Resource Protection)
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22 pages, 1509 KiB  
Review
Mechanisms, Machinery, and Dynamics of Chromosome Segregation in Zea mays
by Marissa E. Duffy, Michael Ngaw, Shayna E. Polsky, Abby E. Marzec, Sean S. Zhang, Owen R. Dzierzgowski and Natalie J. Nannas
Genes 2024, 15(12), 1606; https://doi.org/10.3390/genes15121606 - 16 Dec 2024
Cited by 1 | Viewed by 2235
Abstract
Zea mays (maize) is both an agronomically important crop and a powerful genetic model system with an extensive molecular toolkit and genomic resources. With these tools, maize is an optimal system for cytogenetic study, particularly in the investigation of chromosome segregation. Here, we [...] Read more.
Zea mays (maize) is both an agronomically important crop and a powerful genetic model system with an extensive molecular toolkit and genomic resources. With these tools, maize is an optimal system for cytogenetic study, particularly in the investigation of chromosome segregation. Here, we review the advances made in maize chromosome segregation, specifically in the regulation and dynamic assembly of the mitotic and meiotic spindle, the inheritance and mechanisms of the abnormal chromosome variant Ab10, the regulation of chromosome–spindle interactions via the spindle assembly checkpoint, and the function of kinetochore proteins that bridge chromosomes and spindles. In this review, we discuss these processes in a species-specific context including features that are both conserved and unique to Z. mays. Additionally, we highlight new protein structure prediction tools and make use of these tools to identify several novel kinetochore and spindle assembly checkpoint proteins in Z. mays. Full article
(This article belongs to the Special Issue Maize Molecular Genetics and Functional Genomics in 2024)
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19 pages, 1102 KiB  
Article
Exploring the Feasibility of a Bracketing Approach Utilizing Modeling for Development of Long-Acting Injectables for Regulatory Approval—A Case Study Using Levonorgestrel
by Susan Cole, Henry Pertinez, Andrew S. Butler, Essam Kerwash, Swati Bhat, Eman El-Khateeb and Andrew Owen
Pharmaceuticals 2024, 17(12), 1640; https://doi.org/10.3390/ph17121640 - 6 Dec 2024
Viewed by 1383
Abstract
Background: The development of long-acting products of a characterized drug substance is of great interest. It is possible to support the development of these products with available clinical data by matching the exposure to a predefined bracket of a minimal concentration for efficacy [...] Read more.
Background: The development of long-acting products of a characterized drug substance is of great interest. It is possible to support the development of these products with available clinical data by matching the exposure to a predefined bracket of a minimal concentration for efficacy and a maximal concentration for safety. This bracketing approach would cut down on the time and cost of new long-acting contraceptive products progressing to market. The current study describes the assessment of the data available to support a bracketing approach to conclude comparable levels of efficacy and safety for a postulated novel long-acting reversible contraceptive (LARC) product of levonorgestrel. Methods: Literature evidence of levonorgestrel efficacy, as quantified by the Pearl Index, was utilized and modeled by incorporating three LARC products for the estimation of a minimal concentration required for efficacy. Further literature was reviewed to quantify the maximal concentration required to ensure product safety. Additionally, a review of the regulatory precedence for the approach was conducted using European and UK databases. Results: There was a reasonable definition of the minimal concentrations for efficacy where the target concentrations of levonorgestrel were in the range of 200–400 pg/mL. Maximum concentrations for safety were less well defined. Although regulatory guidance supports the bracketing approach, there is little precedence for licensing new products based on pharmacokinetic data only, despite much reduced clinical and non-clinical packages being evidenced. Conclusions: Understanding of the exposure response is not currently considered sufficient to support a bracketing approach for a new levonorgestrel product. If additional safety data are established, current regulations may allow for a reduced application package. Additional work is needed to support the approach, and this could utilize the wealth of information in real-world datasets combined with systems models. Full article
(This article belongs to the Special Issue Advances in Drug Analysis and Drug Development)
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17 pages, 4336 KiB  
Article
Sorption and Phase Associations of Chromate and Vanadate with Two Contrasting North Carolina Saprolites
by Fatai O. Balogun, Hannah R. Peel, Robert E. Austin, Ibrahim G. Okunlola, David S. Vinson, Owen W. Duckworth and Matthew L. Polizzotto
Soil Syst. 2024, 8(4), 127; https://doi.org/10.3390/soilsystems8040127 - 3 Dec 2024
Viewed by 1268
Abstract
Geogenic chromium (Cr) and vanadium (V) contamination of groundwater in the Piedmont region of North Carolina poses threats to public health. These contaminants are naturally derived from saprolite and aquifer materials, but geochemical variability in these materials makes it difficult to predict specific [...] Read more.
Geogenic chromium (Cr) and vanadium (V) contamination of groundwater in the Piedmont region of North Carolina poses threats to public health. These contaminants are naturally derived from saprolite and aquifer materials, but geochemical variability in these materials makes it difficult to predict specific risks of Cr and V in well water. The objectives of this study were to (1) determine host phases of Cr and V in representative subsurface materials; (2) characterize contaminant binding parameters of chemically variable saprolites; and (3) examine the influence of saprolite chemistry on contaminant sorption, speciation, and phase associations. Isotherm experiments revealed that saprolite samples sorbed roughly an order of magnitude more V than Cr. Chemical extractions and synchrotron-based X-ray fluorescence showed that substantial Cr and V were bound with metal oxide/oxyhydroxides in native and Cr-and V-sorbed saprolites; however, electrostatically bound fractions were also present, representing potentially important sources of groundwater contamination. X-ray absorption-near-edge-structure spectroscopy indicated that sorbed Cr was found as reduced Cr(III), whereas sorbed V was dominated by the oxidized V(V) and intermediate V(IV) species. Results from this study could be used to help parameterize mechanistic models and improve prediction of the Cr and V contamination potential of shallow aquifers. Full article
(This article belongs to the Special Issue Adsorption Processes in Soils and Sediments)
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14 pages, 1830 KiB  
Article
Expansion of an Academic Molecular Tumor Board to Enhance Access to Biomarker-Driven Trials and Therapies in the Rural Southeastern United States
by Anivarya Kumar, Jennifer R. Owen, Nicholette T. Sloat, Elizabeth Maynard, Vanessa M. Hill, Christopher B. Hubbard, Matthew S. McKinney, Linda M. Sutton, Shannon J. McCall, Michael B. Datto, Ashley N. Moyer, Bennett A. Caughey, John H. Strickler and Ryne C. Ramaker
Curr. Oncol. 2024, 31(11), 7244-7257; https://doi.org/10.3390/curroncol31110534 - 16 Nov 2024
Cited by 2 | Viewed by 1861
Abstract
Targeting tumor-specific molecular alterations has shown significant clinical benefit. Molecular tumor boards (MTBs) connect cancer patients with personalized treatments and clinical trials. However, rural cancer centers often have limited access to MTB expertise. We established an academic–community partnership expanding our academic MTB to [...] Read more.
Targeting tumor-specific molecular alterations has shown significant clinical benefit. Molecular tumor boards (MTBs) connect cancer patients with personalized treatments and clinical trials. However, rural cancer centers often have limited access to MTB expertise. We established an academic–community partnership expanding our academic MTB to affiliated rural community cancer centers. We developed a centralized molecular registry of tumors (MRT) to aggregate the comprehensive genomic profiling (CGP) results and facilitate multidisciplinary MTB review. Of the 151 patients included, 87 (58%) had actionable genomic biomarkers, 42 (28%) were eligible for a targeted off-label therapy, and 27 (18%) were matched to a clinical trial. Of those with a clinical trial match, only 1 of 27 (3%) was enrolled in the identified trial. One year into implementation, community oncology providers were anonymously surveyed on persistent barriers to precision treatment utilization. The primary barriers to clinical trial enrollment were the distance to the trial center (70%), lack of transportation (55%), and lack of local trials (50%). This study offers a framework to improve access to molecular expertise, but significant barriers to the equitable use of CGP and trial enrollment persist. Full article
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11 pages, 225 KiB  
Article
Frequency and Determinants of Levothyroxine Therapy Initiation for Veterans with Subclinical Hypothyroidism
by Andreea Terlea, Freddy J. K. Toloza, Richard R. Owen, James S. Williams, Micheal Knox, Katherine Dishongh, Jeff D. Thostenson, Naykky M. Singh Ospina, Juan P. Brito and Spyridoula Maraka
J. Clin. Med. 2024, 13(19), 5727; https://doi.org/10.3390/jcm13195727 - 26 Sep 2024
Cited by 2 | Viewed by 1413
Abstract
Background/Objectives: There is evidence of overtreatment in patients with subclinical hypothyroidism (SCH). We aimed to identify the proportion of patients treated for SCH and the determinants of thyroid hormone therapy initiation. Methods: We included a random sample of adult Veterans diagnosed with SCH [...] Read more.
Background/Objectives: There is evidence of overtreatment in patients with subclinical hypothyroidism (SCH). We aimed to identify the proportion of patients treated for SCH and the determinants of thyroid hormone therapy initiation. Methods: We included a random sample of adult Veterans diagnosed with SCH from 1 January 2016 to 31 December 2018 and conducted univariate and multivariable logistic regression to identify factors associated with levothyroxine initiation. Results: Out of 229 Veterans with SCH [90.0% male, 87.2% White, 99.1% non-Hispanic, median age (interquartile range; IQR) 68 (17) years], 27.5% were treated with levothyroxine. The treated group had a higher proportion of White patients (95.2% vs. 84.2%, p = 0.039), a higher thyrotropin level [median (IQR), 6.98 (2.06) mIU/L vs. 6.14 (1.10) mIU/L, p = 0.0002], a higher proportion of patients with thyrotropin level ≥ 10 mIU/L (11.1% vs. 3.0%, p = 0.021), a lower frequency of confirmatory thyroid testing before initiating levothyroxine (49.2% vs. 97.0%, p < 0.0001), and a similar frequency of thyroid autoimmunity testing (3.2% vs. 0.6%, p = 0.18) compared to the untreated group. In a multivariable logistic regression analysis, White race (OR = 4.50, 95% CI 1.19 to 17.08, p = 0.026) and index thyrotropin level [OR = 1.71, 95% CI 1.24 to 2.35, p = 0.001; for every SD increase (1.6 mIU/L)] were associated with higher odds of treatment. Conclusions: Three in 10 Veterans with SCH received levothyroxine, often based on a single abnormal thyroid test without autoimmunity assessment. White race and higher thyrotropin level were linked to increased odds of starting treatment, indicating potential disparities and the influence of SCH severity on decision-making. Full article
(This article belongs to the Special Issue Clinical Perspectives on Diagnosis and Treatment of Thyroid Diseases)
15 pages, 3759 KiB  
Article
Comparing the Immune Response to PEEK as an Implant Material with and without P-15 Peptide as Bone Graft Material in a Rabbit Long Bone Model
by Boyle C. Cheng, Isaac R. Swink, Cooper T. Cheng, Owen G. Corcoran, Vicki Z. Wang, Edward J. McClain, Praveer S. Vyas, Izzy Owen, Chen Xu, Daniel T. Altman and Alexander K. Yu
Bioengineering 2024, 11(9), 898; https://doi.org/10.3390/bioengineering11090898 - 6 Sep 2024
Cited by 2 | Viewed by 1821
Abstract
P-15 is a 15-amino-acid-long biomimetic peptide widely demonstrated to enhance osteogenesis in vivo. Despite the prevalence of polyether-ether-ketone (PEEK) in interbody device manufacturing, a growing body of evidence suggests it may produce an unfavorable immune response. The purpose of this preliminary study was [...] Read more.
P-15 is a 15-amino-acid-long biomimetic peptide widely demonstrated to enhance osteogenesis in vivo. Despite the prevalence of polyether-ether-ketone (PEEK) in interbody device manufacturing, a growing body of evidence suggests it may produce an unfavorable immune response. The purpose of this preliminary study was to characterize the immune response and new bone growth surrounding PEEK implants with and without a P-15 peptide-based osteobiologic. A bilateral femoral defect model was conducted using New Zealand white rabbits. A total of 17 test subjects received one implant in each distal femur, either with or without bone graft material. Animals were allowed to survive to 4 or 8 weeks, at which time the femurs were collected and subjected to micro-computer tomography (microCT) or cytokine analysis. MicroCT analysis included the quantification of bone growth and density surrounding each implant. The cytokine analysis of periprosthetic tissue homogenates included the quantification of interleukins (ILs) and TNF-α expression via ELISA kits. Improvements in bone volume were observed in the P-15 cohort for the regions of interest, 500–136 and 136–0 µm from the implant surface, at 8 weeks post-op. Concentrations of IL-1β, IL-4, and IL-6 cytokines were significantly higher in the P-15 cohort compared to the PEEK cohort at the 4-week timepoint. Significant reductions in the concentrations of IL-4 and IL-6 cytokines from the 4- to 8-week cohort were observed in the P-15 cohort only. The P-15 peptide has the potential to modulate the immune response to implanted materials. We observed improvements in bone growth and a more active micro-environment in the P-15 cohort relative to the PEEK control. This may indicate an earlier transition from the inflammatory to remodeling phase of healing. Full article
(This article belongs to the Section Biomedical Engineering and Biomaterials)
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22 pages, 1830 KiB  
Article
Mediterranean Diet and Ultra-Processed Food Intake in Older Australian Adults—Associations with Frailty and Cardiometabolic Conditions
by Daniel Clayton-Chubb, Nicole V. Vaughan, Elena S. George, Andrew T. Chan, Stuart K. Roberts, Joanne Ryan, Aung Zaw Zaw Phyo, John J. McNeil, Lawrence J. Beilin, Cammie Tran, Yiqing Wang, Magdalena Sevilla-Gonzalez, Dong D. Wang, William W. Kemp, Ammar Majeed, Robyn L. Woods, Alice J. Owen and Jessica A. Fitzpatrick
Nutrients 2024, 16(17), 2978; https://doi.org/10.3390/nu16172978 - 3 Sep 2024
Cited by 7 | Viewed by 3529
Abstract
Dietary patterns contribute to overall health and diseases of ageing but are understudied in older adults. As such, we first aimed to develop dietary indices to quantify Mediterranean Diet Score (MDS) utilisation and Ultra-processed Food (UPF) intake in a well-characterised cohort of relatively [...] Read more.
Dietary patterns contribute to overall health and diseases of ageing but are understudied in older adults. As such, we first aimed to develop dietary indices to quantify Mediterranean Diet Score (MDS) utilisation and Ultra-processed Food (UPF) intake in a well-characterised cohort of relatively healthy community-dwelling older Australian adults. Second, we aimed to understand the relationship between these scores and the association of these scores with prevalent cardiometabolic disease and frailty. Our major findings are that in this population of older adults, (a) pre-frailty and frailty are associated with reduced MDS and increased UPF intake; (b) adherence to MDS eating patterns does not preclude relatively high intake of UPF (and vice versa); and (c) high utilisation of an MDS eating pattern does not prevent an increased risk of frailty with higher UPF intakes. As such, the Mediterranean Diet pattern should be encouraged in older adults to potentially reduce the risk of frailty, while the impact of UPF intake should be further explored given the convenience these foods provide to a population whose access to unprocessed food may be limited due to socioeconomic, health, and lifestyle factors. Full article
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